Single Coronary Artery: An Unwonted Incidental in a 54-year-old Chronic Kidney Disease Filipino Female with ST Elevation Myocardial Infarction in Cardiogenic Shock

INTRODUCTION A single coronary artery is extremely rare. Patients with this anomaly are usually asymptomatic and commonly an incidental finding among imaging diagnostics. CASE REPORT We report a case of 56-year-old hypertensive, diabetic Filipino female on thrice-weekly maintenance hemodialysis who had origin invasive angiography after she developed STEMI in cardiogenic shock along the course her admission for elective below knee amputation. Advised revascularization via bypass grafting, however refused. She was eventually discharged against medical advice upon stabilization. refused further renal replacement therapy; succumbed two weeks later. LEARNINGS Single rare condition associated increased risk sudden cardiac death. multidisciplinary team place ideal to determine best management strategy employ. Guideline-directed therapy aggressive factor control offers benefit. KEYWORDS artery. SCA. Cardiogenic shock. ST-elevation myocardial infarction. STEMI.